针麻腹式输卵管结扎术23,554例临床研究报告

<正> 针刺麻醉腹式输卵管结扎临床研究是卫生部下达的《1975年针刺麻醉全国研究计划》中的一个重要课题,由江苏、四川、上海、湖北、广东、广西、安徽、山西、河南、福建、山东、江西、浙江、湖南、黑龙江、甘肃、云南、宁夏十八个省、市、自治区的一百多个科研、临床单位组成协作组,自1975年5月至1977年12月共完成输卵管结扎术23,554例。其中针麻效果一级的12,246例,占51.9%;二级的7,968例,占

THE CLINICAL STUDY ON ABDOMINAL TUBOLIGATION UNDER ACUPUNCTURE ANESTHESIA

A program of investigation an acupuncture anesthesia for abdomenal tubo- iigation was carried out by research workers and clinicians of 18 provinces, cities and autonomous regions.Operation were performed on 23,554 patients with a rate of success of 97.9%,and a rate of excellent-good result of 85.8%. For the choice of points,five groups of points were put into trial: (1)Sanyinjiao (bilateral),Ciliao (bilateral);(2)Renzhong,Chengjiang;(3)Ear points:Lung,Shenmen,Uterus,Endocrine;(4)Renzhong Chengjiang,Ciliao (bilateral);and (5)Ear points:Lung,Shenmen,Uterus,Endocrine,Parain- cisional.The rate of excellent-good result for each group was 85.5%,85.2%, 85.2%,91.4% and 87.0% respectively.The fourth group showed better result than the other groups (0.05>P>0.01). Regardiog the duration of induction,4,763 cases were investigated in four groups.Marked difference was noted in the rate of excellent-good result bet- ween.these groups (0.05>P>0.01).It was concluded that 5’—10’ was the most optimal induction duration. In this series, in 23,554 cases,neither procaine nor other analgesics was given.Dolantin was used in 3,915 cases.This was compared for three times with the control group of 3,073 cases.It was noted that acupuncture anesthesia without Dolantin could be as effective as with it. It may be concluded that acupuncture anesthesia can be used to perform abdominal tuboligation without the help of supplementary medication.Acupu- ncture anesthesia has the merits of being safe,simple,effective and with rapid recovery.It is considered to be a preferable method of anesthesia for abdo- minal tuboligation.